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Ann Thorac Surg 2004;77:1105-1106
© 2004 The Society of Thoracic Surgeons

How to do it

Dorsal minithoracotomy for ductus arteriosus clip closure in premature neonates

Walter V. A. Vicente, MD, PhDa,b*, Alfredo J. Rodrigues, MD, PhDa, Paulo J. F. Ribeiro, MD, PhDb, Paulo R. B. Évora, MD, PhDb, Antonio C. Menardi, MDb, Cesar A. Ferreira, MDa, Lafaiete Alves, Jr, MDa, Solange Bassetto, MDa

a Division of Thoracic and Cardiovascular Surgery, Ribeirão Preto Medical School of the University of São Paulo, São Paulo Brazil
b Centro Especializado do Coração e Pulmão, São Paulo, Brazil

Accepted for publication April 18, 2003.

* Address reprint requests to Dr Vicente, Departamento de Cirurgia, Hospital das Clinicas, Ribeirão Preto SP, Brazil, 14048-900
e-mail: wvvicent{at}fmrp.usp.br

We present a new surgical technique for patent ductus arteriosus (PDA) occlusion in premature neonates (PN). Through a dorsal minithoracotomy the PDA is dissected extrapleurally with q-tips and clipped. The short surgical time, avoidance of pleural drainage, and prevention of late breast deformity are the operation highlights.




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